文章摘要
郭淑霞,杨志明,郭恒,张景玉,唐景霞,芮东升,马儒林.新疆哈萨克族和汉族代谢综合征患者脂蛋白脂酶基因HindⅢ、S447X多态性的相关分析[J].中华流行病学杂志,2010,31(9):992-996
新疆哈萨克族和汉族代谢综合征患者脂蛋白脂酶基因HindⅢ、S447X多态性的相关分析
Association of lipoprotein lipase gene Hind Ⅲ and S447X polymorphisms in metabolic syndrome patients among Kazakh and Han ethnics from Xinjiang
收稿日期:2009-12-21  出版日期:2014-09-10
DOI:
中文关键词: 代谢综合征  脂蛋白脂酶  基因多态性  哈萨克族  汉族
英文关键词: Metabolic syndrome  Lipoprotein lipase  Gene polymorphism  Kazakh  Han race
基金项目:"十一五"国家科技支撑计划(2009BAI82B04);新疆生产建设兵团国际科技合作项目(2009YD33)
作者单位E-mail
郭淑霞 332002 石河子大学医学院预防医学系 hpge888@sina.com 
杨志明 332002 石河子大学医学院预防医学系
解放军国际关系学院门诊部 
 
郭恒 332002 石河子大学医学院预防医学系  
张景玉 332002 石河子大学医学院预防医学系  
唐景霞 332002 石河子大学医学院预防医学系  
芮东升 332002 石河子大学医学院预防医学系  
马儒林 332002 石河子大学医学院预防医学系  
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中文摘要:
      目的 探讨脂蛋白脂酶(LPL)基因Hind Ⅲ、S447X多态性与新疆哈萨克族和汉族人群代谢综合征(MS)及其组分的关系.方法 应用聚合酶链反应-限制性片段长度多态法检测802名研究对象(哈萨克族和汉族MS各200名和对照各201名)的LPL基因Hind Ⅲ、S447X基因多态性.结果 (1)汉族MS组H+H-/H-H-基因型(32.50%vs.47.76%)、H-等位基因(18.00%vs.28.86%)、SX/XX基因型(8.00%vs.22.39%)、X等位基因(4.00%vs.12.44%)频率低于对照组,P值均<0.01.(2)哈萨克族MS组H+H-/H-H-基因型(33.50%vs.45.80%)、H-等位基因(22.00%vs.28.60%)、SX/XX基因型(10.50%vs.22.90%)、X等位基因(5.50%vs.12.44%)频率低于对照组,P值均<0.01.(3)LPL基因Hind Ⅲ、S447X基因型和等位基因频率在哈萨克族和汉族MS组间的差异无统计学意义(P值均>0.05).(4)H+H-/H-H-基因型携带者、SX/XX基因型携带者腰围、SBP、DBP、甘油三酯、空腹血糖水平分别较H+H+基因型携带者和SS基因型携带者低,高密度脂蛋白胆固醇水平分别高于H+H+基因型携带者和SS基因型携带者,差异均有统计学意义(P值均<0.05).(5)随着MS组分异常的增多,H+H+、SS基因型携带率均有不断增加的趋势.结论 LPL基因Hind Ⅲ、S447X多态性与MS的发病风险相关,其中H+H-/H-H-基因型、H-等位基因、SX/XX基因型、X等位基因可能是MS的保护因素,H+H-/H-H-和SX/XX基因型对MS各组分产生有益的影响,且随着MS组分异常个数的增加,H+H+、SS基因型携带率也相应增加
英文摘要:
      Objective To investigate the association of lipoprotein lipase gene Hind Ⅲ and S447X polymorphisms with metabolic syndrome among Kazakh and Han ethnicities in Xinjiang.Methods PCR-RFLP was used to detect 802 subjects' lipoprotein lipase Hind Ⅲ and S447Xgenotypes (including 201 controls and 200 metabolic syndrome patients in Kazakh and Han ethnicities, respectively). Results (1) Frequencies of H + H-/H-H- genotype (32.50% vs.47.76%), H- allele( 18.00% vs. 28.86%), SX/XX genotype (8.00% vs. 22.39%) and X allele (4.00%vs. 12.44% ) for metabolic syndrome in Hah ethnicity were all significantly lower than those in controls (P< 0.01 ). (2) The frequencies of H + H-/H-H- genotype (33.50% vs. 46.80% ), H- allele (22.00% vs. 28.60%), SX/XX genotype (10.50% vs. 22.90%) and X allele (5.50% vs. 12.44% ) in patients with metabolic syndrome in Kazakh were all significantly lower than those for controls (P<0.01). (3) The frequencies of lipoprotein lipase gene Hind Ⅲ and S447X genotypes and alleles in Kazakh were not significantly different from Han (all P>0.05). (4)The levels of waist circumference, systolic blood pressure, diastolic blood pressure, triglyceride and FPG in H + H-/H-H- and SX/XX genotype were significantly lower than those in H + H + and SS genotype.HDL-C was significantly higher than that in H + H + and SS genotype (P<0.05). (5) The frequencies of H + H + and SS genotype increased along with the increase in number of metabolic syndrome component. Conclusion The lipoprotein lipase gene Hind Ⅲ and S447X polymorphisms were associated with metabolic syndrome risk in Kazakh, and H + H-/H-H- genotype, H- allele, SX/XX genotype and X allele might have served as protective factors of metabolic syndrome. H + H-/H-H- and SX/XX genotype seemed to have had beneficial effects for all the metabolic syndrome components, and the frequencies of H + H + and SS genotype were increasing along with the increase of number in the metabolic syndrome components.
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